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Economic downturns and population mental health: research findings, gaps, challenges and priorities

  • K. Zivin (a1) (a2) (a3), M. Paczkowski (a4) and S. Galea (a4)

Prior research suggests that the current global economic crisis may be negatively affecting population mental health. In that context, this paper has several goals: (1) to discuss theoretical and conceptual explanations for how and why economic downturns might negatively affect population mental health; (2) present an overview of the literature on the relationship between economic recessions and population mental health; (3) discuss the limitations of existing empirical work; and (4) highlight opportunities for improvements in both research and practice designed to mitigate any negative impact of economic declines on the mental health of populations. Research has consistently demonstrated that economic crises are negatively associated with population mental health. How economic downturns influence mental health should be considered in policies such as social protection programs that aim to promote recovery.

Corresponding author
*Address for correspondence: K. Zivin, Ph.D., Department of Psychiatry, University of Michigan, Rachel Upjohn Building, 4250 Plymouth Road, Box 5765, Ann Arbor, MI 48109, USA. (Email:
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

JRH Charlton , R Bauer , A Thakhore , R Silver , M Aristidou (1987). Unemployment and mortality – a small area analysis. Journal of Epidemiology and Community Health 41, 107113.

M Dear , G Clark , S Clark (1979). Economic cycles and mental-health care policy – examination of the macro-context for social-service planning. Social Science and Medicine. Part C: Medical Economics 13, 4353.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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